Individual provider · Type 1 NPI

Lonnie James Larrison, CO 61378037

Addiction (Substance Use Disorder) Counselor · Yakima, WA

NPI number 1205534831 Active

Practice location

120 South 3rd Street
Yakima, WA 98901-2875

Mailing address

120 S 3rd St
Yakima, WA 98901-2875

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61378037 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205534831

Lonnie James Larrison, CO 61378037's National Provider Identifier is 1205534831, issued on Feb 22, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yakima, WA. The record was last updated on Aug 3, 2023.